Reexpansion pulmonary edema after resolution of tension pneumothorax in the contralateral lung of a previously lung injured patient

Gordon, Alexander H; Grant, Geordie P.; Kaul, Sanjeev

doi:10.1016/j.jclinane.2003.07.014

Cited by 7 publications

(8 citation statements)

References 12 publications

(12 reference statements)

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“…Re-expansion pulmonary edema develops almost immediately after resolution of a pneumothorax and is usually ipsilateral (2). The risk of re-expansion pulmonary edema is believed to be highest after rapid re-expansion of a lung that has been collapsed for more than three days (6,8).…”

Section: Discussionmentioning

confidence: 99%

“…A definitive mechanism has yet to be elucidated; however, increased vascular permeability, which is caused by hypoxic injury to the capillary and alveolar membrane, diminished surfactant production and structural damage, is believed to be causative (2)(3)(4).…”

Section: Discussionmentioning

confidence: 99%

“…Symptoms include mild to severe respiratory distress that typically begins within 5 h after lung re-expansion, with the presence of rales in the affected lung field and frothy sputum production (2,10). Supportive therapy is the rule, with some patients requiring noninvasive positive airway pressure or intubation, followed by vasopressor support and vigorous fluid resuscitation (2,11,12). In cases of unilateral re-expansion pulmonary edema, changing the patient's position to the lateral decubitus position with the affected side up is also effective due to the reduction of intrapulmonary shunting (2,13).…”

Section: Discussionmentioning

confidence: 99%

“…Adegboye et al (1) reported an incidence rate of 0.8%. Theoretically, increased vascular permeability, diminished surfactant production and structural damage are believed to cause re-expansion pulmonary edema; however, none of these factors have been proven (2)(3)(4). We present a case of massive re-expansion pulmonary edema after insertion of a thoracic drainage tube for pneumothorax.…”

mentioning

confidence: 94%

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Unilateral Re‐Expansion Pulmonary Edema following Treatment of Pneumothorax with Exceptionally Massive Sputum Production, followed by Circulatory Collapse

Komatsu

Shibata²,

Seo³

et al. 2010

Canadian Respiratory Journal

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A case of a 61-year-old man who developed ipsilateral re-expansion pulmonary edema after pleural drainage for a right pneumothorax is described. The patient's chest x-ray revealed a totally collapsed right lung. After insertion of a chest drainage tube, he began to produce a moderate amount of serous, yellowish sputum. Despite continuous positive airway pressure support, his dyspnea gradually worsened and his oxygenation could not be maintained; therefore, to improve his hypoxemic state, intubation was necessary. His chest x-ray following chest tube insertion showed ipsilateral diffuse infiltrates. These radiographic and physical findings were consistent with re-expansion pulmonary edema. The present case was complicated by extreme hypotension and tachycardia due to massive fluid loss. His condition gradually improved with invasive mechanical ventilation. Re-expansion pulmonary edema is an uncommon complication of pleural drainage for pneumothorax, and therapy is supportive. In the present case, the exceptional severity of the pulmonary edema, as well as its general concept, is reviewed in accordance with other relevant literature.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 94%

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Unilateral Re‐Expansion Pulmonary Edema following Treatment of Pneumothorax with Exceptionally Massive Sputum Production, followed by Circulatory Collapse

Komatsu

Shibata²,

Seo³

et al. 2010

Canadian Respiratory Journal

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“…In a lung-injured patient, if normal tidal volume (10 ml/kg) under general anesthesia were used, the entire volume could be transmitted to the healthy lung. That could be the reason for subclinical barotrauma of healthy lung and cause RPE [7]. Chang et al[8] described the animal model that explains barotrauma of the healthy lung under one lung ventilation over 60 min.…”

mentioning

confidence: 99%

Delayed Onset Contralateral Reexpansion Pulmonary Edema after Tension Pneumothorax - A Case Report -

Song

Jung

2013

Korean J Crit Care Med

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A 16-year-old male patient presented with left side chest pain. The initial chest radiograph showed tension pneumohtorax on the left side. Air was evacuated by closed thoracostomy. About 72 hours later, during administration of general anesthesia for thoracoscopic bullectomy, unilateral pulmonary edema affecting the contralateral lung developed without definite infiltration in the left lung. The operation was suspended and the patient was admitted to the intensive care unit. A close observation of the patient and conservative therapy were enough to manage this pulmonary edema. This is a very rare manifestation of reexpansion pulmonary edema that is unpredictable and could be fatal. The clinical course is described in this article.

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Pulmonary vascular diseases and pulmonary edema

Hansell¹,

Lynch²,

McAdams³

et al. 2010

Imaging of Diseases of the Chest

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Reexpansion pulmonary edema after resolution of tension pneumothorax in the contralateral lung of a previously lung injured patient

Cited by 7 publications

References 12 publications

Unilateral Re‐Expansion Pulmonary Edema following Treatment of Pneumothorax with Exceptionally Massive Sputum Production, followed by Circulatory Collapse

Unilateral Re‐Expansion Pulmonary Edema following Treatment of Pneumothorax with Exceptionally Massive Sputum Production, followed by Circulatory Collapse

Delayed Onset Contralateral Reexpansion Pulmonary Edema after Tension Pneumothorax - A Case Report -

Pulmonary vascular diseases and pulmonary edema

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